Stacy Marie Nassau, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME146805 Issued in FL

Practice address

14411 S Dixie Hwy Ste 223
Palmetto Bay, FL 33176-7900

Phone

(305) 255-4868

Fax

(305) 255-4922

NPI assigned

May 31, 2015

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Stacy Marie Clements Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/ImmunologyAlso: Pediatric Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergy and Asthma Associates of South Florida PAGroup PAC ID 2365340908, 25 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allergy & Asthma Associates of South Florida PA

  dba Florida Center for Allergy & Asthma Care

  • Allergy & Immunology Physician
  • Miami, FL
  • NPI 1093779696

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Allergy & Asthma Associates of South Florida PA

  dba Florida Center for Allergy and Asthma Care

  • Allergy & Immunology Physician
  • Pembroke Pines, FL
  • NPI 1912164211

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1639559107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE B100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126543",
            "telephone_number": "305-223-8808",
            "fax_number": "954-962-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14411 S DIXIE HWY STE 223",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331767900",
            "telephone_number": "305-255-4868",
            "fax_number": "305-255-4922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9035 Sunset Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331733451",
            "country_code": "US",
            "telephone_number": "305-279-3366",
            "fax_number": "305-271-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Arthur Godfrey Rd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331403500",
            "country_code": "US",
            "telephone_number": "305-538-8339",
            "fax_number": "305-538-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASSAU",
        "first_name": "STACY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME146805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "CLEMENTS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Allergy & Immunology Physician in Palmetto Bay, FL
• Providers in Palmetto Bay, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.